Provider Demographics
NPI:1831399765
Name:BRASHEAR, DAVID L (LCSW)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:BRASHEAR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2420 ATHANIA PKWY
Mailing Address - Street 2:STE 102
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70001-1975
Mailing Address - Country:US
Mailing Address - Phone:504-832-8080
Mailing Address - Fax:
Practice Address - Street 1:2420 ATHANIA PKWY
Practice Address - Street 2:STE 102
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70001-1975
Practice Address - Country:US
Practice Address - Phone:504-832-8080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA23011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical